Individual
BRITTANY CHANTAL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8932 JEWELLA AVE, SHREVEPORT, LA 71118-2117
(318) 219-4167
Mailing address
536 GLENWOOD ST, BOSSIER CITY, LA 71111-2205
(318) 936-1506
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20160641
LA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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